MRS. JOO YOUNG DE VERA ACNP-BC
NPI 1518396357
Nurse Practitioner - Acute Care in New York, NY
About Mrs. Joo Young De Vera Acnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JOO YOUNG DE VERA ACNP-BC (NPI 1518396357) is an individual acute care provider in New York, New York, licensed in New York (F430703-1) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Joo Young De Vera Acnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Joo Young De Vera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 482 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10065
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Joo Young De Vera's NPI number?
The NPI number for Joo Young De Vera is 1518396357. It was assigned to this individual provider in the NPPES registry on November 2, 2013.
Where is Joo Young De Vera located?
Joo Young De Vera practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-6673.
What is Joo Young De Vera's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Joo Young De Vera enrolled in Medicare?
Yes. Joo Young De Vera is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Joo Young De Vera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joo Young De Vera reassigns Medicare benefits to Memorial Anesthesiology Group (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joo Young De Vera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Joo Young De Vera was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.